Dengue worldwide overview
Situation update, 26 February 2020
Dengue is present in Africa, the Americas, Asia, the Caribbean and the Pacific. In 2020, France and Italy reported autochthonous dengue cases. No autochthonous dengue cases have been detected in continental Europe in 2021.
Geographical distribution of dengue cases reported worldwide, January to February 2021
No autochthonous dengue cases have been detected in continental Europe in 2021.
Americas and the Caribbean
In 2021, and as of week 6, the Pan American Health Organization (PAHO) reported 20 368 suspected and confirmed dengue cases and no associated deaths, in the Americas region. The five countries reporting most cases are: Nicaragua (4 297), Colombia (4 118), Paraguay (3 790), Mexico (1 951) and Ecuador (1 670). All four dengue virus serotypes (DENV 1, DENV 2, DENV 3, and DENV 4) are currently circulating in the Region of the Americas, which increases the risk of severe cases. The figures for each country of the Americas region can be found on the PAHO Health Information Platform.
According to Santé Publique France, the French Caribbean islands are all in epidemic phase, although cases have started to decrease since week 40-2020.
Bangladesh: According to media sources quoting health authorities, in 2021 and as of 21 February 2021, Bangladesh reported a
total of 38 cases and no deaths.
Lao PDR: In week 4 of 2021, Lao PDR reported 26 cases and no deaths. The cumulative number of cases is 3.3 times lower
compared to the same period in 2020, and the trend is within seasonally expected levels.
Malaysia: In 2021 and as of 23 January, Malaysia reported 2 722 cases and two deaths.
Nepal: In 2021 and as of week 14 February 2021, Nepal reported a total of 11 cases.
Pakistan: In 2021 and as of 13 February 2021, Pakistan reported a total of 252 cases of dengue.
The Philippines: In 2021, and as of 23 January, the Philippines reported 3 353 dengue cases, including 12 deaths. The number of
cases is 82% lower compared to the 18 972 cases that were reported in the same period in 2020.
Singapore: In 2021 and as of 23 February 2021, Singapore reported a total of 1 172 cases. Weekly trends are within seasonally
Sri Lanka: In 2021 and as of 24 February, Sri Lanka reported a total of 2 967 cases.
Thailand: In 2021 and as of 23 February 2021, Thailand reported a total of 823 cases and no deaths.
Vietnam: In 2021 and as of 31 January 2021, Vietnam reported 9 654 cases and no deaths. This represents a decrease of 19.6%
in cumulative cases, compared to the same period in 2020.
There are no new updates available from Cambodia, China, India, Myanmar and Indonesia.
Ethiopia: On 4 February 2021, WHO reported that approximately 160 cases have been confirmed. Additional 47 suspected cases
have been reported.
Réunion: In 2021 and as of 23 February 2021, 350 confirmed cases have been reported
There are no updates for Mayotte, Mauritius, Mauritania and Senegal.
Australia and the Pacific
Australia: In 2021, no cases have been reported.
Cook Islands: In 2021 as of week 6, a total of 30 probable and confirmed cases have been reported. On 2 February 2021, an
outbreak was declared by the Cook Islands Ministry of Health.
Fiji: Since the end of last year and as of 7 February 2021, the country has reported 300 cases.
New Caledonia: In 2021 and as of week 6 2021, 18 cases were reported, 13 of which were confirmed.
Wallis and Futuna: In 2021 as of week 7, 16 confirmed cases were reported
The Republic of the Marshall Islands: In 2021, and as of 15 February, seven cases have been reported.
There are no official updates available from French Polynesia and the Federated States of Micronesia.
N.B: The data presented in this report originate from several sources, both official public health authorities and non-official sources such as news media.
Data completeness depends on the availability of reports from surveillance systems and their accuracy, which varies between countries.
All data should be interpreted with caution as there may be areas of under-reporting; reported figures may not reflect the actual epidemiological situation.
Geographical distribution of dengue cases reported worldwide, 2020
Dengue is present in Africa, the Americas, Asia, the Caribbean and the Pacific. In 2020, France and Italy reported autochthonous dengue cases. In 2020, the five countries reporting most cases are Brazil, Paraguay, Mexico, Vietnam and Malaysia.
More on dengue
Assessing the risk to the EU/EEA
Three autochthonous cases of dengue have been reported in France and Spain. The probability of further local sustained transmission remains very low, because of the less suitable environmental conditions during the autumn season.Read risk assessment
Sexual transmission of dengue
Following the report on likely sexual transmission of dengue between two men in Spain, ECDC assessed the existing evidence and concludes that the risk of sexual transmission is considered extremely low for both heterosexuals and men who have sex with men.See outbreak reports on dengue